Cutaneous metastases of laryngeal chondrosarcoma.

The following is the case of a 60-year-old male patient, a non-smoker, who was admitted to our unit with dyspnoea, dysphonia and a sore throat which had progressively evolved over several months. Fibroscopic examination showed a subglottic ulcer, which was biopsied and identified as a grade 2 laryngeal chondrosarcoma. A cervical CT scan revealed a subglottic lesion which had spread into the pre-epiglottic space, from the infrahyoid epiglottis to the second tracheal ring. We therefore performed a total laryngectomy. The surgical specimen was reported as a grade 2 transglottic chondrosarcoma. The chondrosarcoma recurred a year after surgery as a mass between the sternum and the tracheostoma, and metastasized bilaterally in the lung. The patient was therefore administered cytoreduction chemotherapy treatment. Thirty months after surgery, the patient presented with multiple infiltrative nodules, 5 mm in diameter, on his chin and nose (Fig. 1). Fine needle aspiration and excisional biopsy showed that this was cutaneous metastases of chondrosarcoma (Fig. 2).